Transcript Highlights:

• Preventive Services Task Force to make preventive service recommendations.
• Preventive Services Task Force that makes recommendations on preventive services.
• Preventive Services Task Force that makes recommendations on preventive services.
• It would be easy to simply demand that we add perinatal services to the list of required services and
• By reclassifying perinatal services as a basic hospital service, this bill ensures that all patients

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• The $21.38 million we're requesting does not expand services.
• We're talking about how we're trying to refer survivors to services only to find out that those services
• I am alive today because of crime victim services, two types of crime victim services: community-based
• services and system-based services.
• It represented a 75% cut to those services.

Summary: Sen. Manka Dhingra held a press conference focused on Washington’s ongoing efforts to support survivors of sexual assault, domestic violence, trafficking, and other gender-based violence, while warning that state victim-services funding is at risk amid budget pressures. She highlighted past legislative actions such as extending sexual-assault statutes of limitation, keeping firearms from abusers, protecting survivors from discrimination, improving civil protection orders, and addressing female genital mutilation, and said the state must continue funding trauma-informed, victim-centered services. Several advocates and service providers testified that the system is at a breaking point without restored funding. Colleen McIngles of the Children’s Justice Center said programs statewide could close if the Legislature does not restore roughly $10 million in additional victim-services funding, while Kate Garvey of KSARC said $21.38 million is needed just to maintain current services after federal VOCA cuts and staff layoffs. They argued that losing forensic interviewers, advocates, and coordinated response teams would leave survivors without support and increase harm. Legislators also discussed several bills. Sen. T’wina Nobles described SB 5169, aimed at protecting children from having to relive trauma in court. Rep. Jamila Taylor and Rep. Roger Goodman discussed HB 1591, which would address “defendant survivors” by recognizing coercion and allowing mitigation, resentencing, and vacatur in some cases. Rep. Chris Stearns and Sen. Tina Orwall discussed a bill to make court proceedings less retraumatizing for sexual-assault survivors and to address female genital mutilation, and Dhingra noted the Senate had unanimously passed the Ebony Alert bill. Rep. Lauren Davis shared her personal experience relying on victim services and said the state must fully fund both community-based and system-based advocacy. In response to a question, Dhingra said funding discussions were ongoing but emphasized the need to secure about $21.5 million for survivors and to create a more stable statutory funding mechanism.

Transcript Highlights:

• </c> their they their services are based their they their services are based premised<00:26:00.080><c
• </c> provide services there. provide services there.
• </c><00:51:59.280><c> The</c> Who delivers the service? The Who delivers the service?
• service? service?
• </c> forward for placement services etc. forward for placement services etc.

Keywords: 928, house, all

Summary: The commission met to continue its study of the cost of special education, with the chair emphasizing that the group needs to narrow its focus over the coming year toward specific cost drivers, including the IEP process, Medicaid, charter schools, and EFAs. Members reviewed a draft first report due November 1 and agreed it would be a brief synopsis of prior meetings, with minutes attached. The September 30, 2025 minutes were amended to correct the number of federally funded department staff from 234 to 23, and to revise language about Senator Sullivan’s comments so they reflected concerns about IEP advocates and fees charged to families rather than support for the concept. The amended minutes were then approved unanimously, with abstentions noted for members who were absent. The main presentation focused on how special education costs are handled for students attending charter schools. The DOE representative said there are 804 students with disabilities in charter schools across 88 of the state’s 176 districts, and that the district of residence remains responsible for all services and costs. She explained that students must meet IDEA criteria through district evaluation and parent consent, and that services are determined through individual IEP meetings rather than by a blanket charter-school decision. Members asked how those costs are tracked, whether any students are merely “monitored,” and whether districts separately identify charter-school special education expenses; the answer was that most districts fold those costs into their overall special education budget, though some may break them out as a line item. The discussion then turned to transportation and mileage costs for staff providing services at charter schools. Testimony indicated that districts may use their own staff, contract staff, or contract with a charter school for certified services, and that travel costs are often either built into contracts or absorbed as part of staff time rather than separately reimbursed. Members questioned whether mileage is reimbursed when staff travel to distant charter schools and whether those costs can be isolated in district budgets; the response was that practices vary by district and are not usually broken out by special education function. Several members argued this makes it difficult to determine the true cost of delivering special education, especially given New Hampshire’s model in which the district of residence pays regardless of where the charter school is located. The chair noted the complexity of the system and compared it to the state’s separate tuition and transportation approach for career and technical education centers.

Transcript Highlights:

• These services include overseeing the state's annual purchasing of $3.7 billion in goods and services
• </c> capital and veteran services capital and veteran services organization<00:19:02.200><c> space</c
• services, cybersecurity services, and connectivity-type services.
• disrupt services in government.
• connectivity type services but services connectivity type services but really<00:32:51.720><c> the</

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:10:50.720><c> that</c> operation like for example services that operation like for example services
• We provide funds to Social Services, transfer funds to the Social Services Grant, and then of course
• We provide funds to Social Services, transfer funds to the Social Services Grant, and then of course
• </c> of the services of the services provided<01:29:28.679><c> uh</c><01:29:28.800><c> it's</c><01:29
• Contracts for program services. I'm sorry. Yes, you have zero in services. I'm sorry.

Keywords: 928, house, all

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.

Transcript Highlights:

• TAB FIVE PRESENTATION BY THE DEPARTMENT OF MANAGEMENT SERVICES REGARDING THE OVERVIEW OF STATE AGENCY
• AS A DIVISION OF THE DEPARTMENT OF MANAGEMENT SERVICES WE TAKE OUR AGENCY'S MISSION OF SERVING THOSE
• THROUGH EQUIPPING AND EMPOWERING OUR CUSTOMERS TO PROVIDE GOODS AND SERVICES TO THE STATE OF FLORIDA
• PROCESSES AS WE SEEK TO FIND VALUE FOR IT AND COMMODITIES AND SERVICES.
• WE WANT TO RIDE GOOD AND SERVICES WHEN THEY NEED THEM NOT WHEN WE GET AROUND TO IT.

Keywords: 999, senate, all

Transcript Highlights:

• Alcohol and drug counselors provide counseling services to persons seeking services to address substance
• </c> including the administrative Services including the administrative Services Unit<00:04:03.120><c
• Services Services Program<00:04:08.480><c> it</c><00:04:08.599><c> is</c><00:04:08.799><c> important
• ><c> address</c><00:04:54.080><c> substance</c> seeking services to address substance seeking services
• </c> importance of mental health services importance of mental health services which<00:10:29.480><c>

Keywords: 1183, house

Transcript Highlights:

• Regarding service centers, this calendar year the RMV will be moving three service center locations to
• The RMV also services business customers at our service centers through a drop-off service.
• hours, weekend services, and route expansions continuing across RTA service areas.
• We've also launched permanent extended service on all service lines and eight frequent bus routes on
• the expanded service hours.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a hearing at UMass Amherst on Governor Healey’s fiscal year 2027 budget, focusing on energy/environment-related transportation issues and the Massachusetts Department of Transportation. The chairs and members opened with thanks to UMass, university leadership, court officers, and legislative staff, and Chancellor Javier Reyes highlighted UMass Amherst’s research, workforce, sustainability, and transportation contributions, including energy research, transit operations, and partnerships with MassDOT. The hearing then moved to MassDOT and MBTA testimony on the administration’s transportation funding package, including House 2, the FY26 Fair Share supplemental, and a proposed four-year Chapter 90 authorization. MassDOT officials described the budget as part of a broader multi-year transportation investment strategy, citing funding for operations, snow and ice removal, regional transit authorities, the MBTA, the Merit Rating Board, sustainable aviation fuel credits, micro-transit and last-mile grants, unpaved road improvements, bridge and pavement work, and housing-related transportation infrastructure. They emphasized workforce expansion, capital delivery capacity, safety improvements, and local aid, including the new lane-mile-based Chapter 90 formula intended to benefit rural communities. Officials also discussed major projects and programs such as Grant Central, culvert and unpaved road grants, work zone speed cameras, congestion hotspot fixes, the Sagamore and Bourne Bridge projects, and MBTA operating support and safety upgrades. Testimony from the MBTA and rail/transit staff focused on improved ridership, service frequency, accessibility, and safety, including progress on the Green Line Train Protection System, reduced delays, expanded bus and commuter rail service, and the South Coast rail extension. Regional transit authorities reported increased ridership and described new fare-free, connectivity, and community transit grants. Aeronautics testimony covered airport capital work, drone and data programs, sustainable aviation fuel efforts, and workforce development in aviation maintenance. Committee members then asked questions, especially about Western Massachusetts priorities, Chapter 90 funding, bridge repairs, snow and ice costs, Cape Cod bridges, Buzzard’s Bay rail, and Compass Rail/West-East Rail. Officials said several federal rail grants were moving forward, that Sagamore Bridge procurement would begin soon, and that the administration remained committed to pursuing federal funding and multi-year transportation investments.

Transcript Highlights:

• Who served </font> <font color="aaaaaa">periods of wartime service.
• ">wartime service may be able to </font> <font color="aaaaaa">utilize such military service </font> <
• font color="aaaaaa">towards the credible service </font> <font color="aaaaaa">utilize such military service
• </font> <font color="aaaaaa">for your service. Thank you.
• I </font> <font color="aaaaaa">their time in service.

Keywords: 999, senate, all

Transcript Highlights:

• All of the services provided through Seven Counties are outpatient services.
• But for substance use services, the services are offered across the continuum.
• So, we're talking about different types of treatment services, recovery services, harm reduction services
• But for substance use services, the services are offered across the continuum.
• So, we're talking about different types of treatment services, recovery services, harm reduction services

Keywords: 958, all

Summary: The committee first approved the August 12 minutes and then handled a large agenda of 355 contracts totaling about $278.7 million. It agreed to defer three Office of Energy Policy items to the October 2025 meeting and reviewed a deferred Kentucky Educational Television contract without objection. The main substantive discussion centered on two University of Louisville legal services PSC amendments and a Seven Counties Services MOA item. For the University of Louisville items, members questioned a large increase in hourly rates and the scope of the legal services, especially complex litigation work and a Colorado estate matter. University officials said the contracts followed an RFP, involved specialized litigation, included local counsel where required, and were expected to be offset by savings in other PSCs and by a potential financial recovery in the Colorado matter. The committee also discussed whether the $125 hourly rate was a statutory requirement or committee policy; the chair later said staff would verify whether it was an executive-branch regulation or statutory rate. Both University of Louisville items were ultimately approved, though Senator Meredith voted no on one and Senator Douglas explained his support while urging future adjustments and more information sharing. The Seven Counties Services contract drew questions about how the $18.7 million would be used and whether federal changes could affect future funding. Cabinet officials described 988 crisis response, outpatient mental health and substance use treatment, prevention, recovery, and harm-reduction services, and said they were monitoring federal developments daily. Representative Petrie and Senator Thomas pressed the cabinet on the long-running Seven Counties bankruptcy and the need to push for resolution; officials said the matter was pending on a motion for reconsideration and that they would try to help move it along. The contract was approved. At the end of the meeting, the committee approved the remaining agenda items as reviewed without objection, but Senator Meredith voted no on the blanket approval motion because of numerous retroactive contract requests and what she said were insufficient explanations such as administrative error or staff being on conference. She said retroactive approvals should be rare and supported stronger internal controls.

Transcript Highlights:

• </c><02:17:45.280><c> that</c> service animal maybe the service that service animal maybe the service
• That is not a service animal.
• That is not a service animal.
• That is not a service animal.
• That is not a service animal.

Keywords: 928, house, all

Summary: The committee held a work session on a bill arising from the Lee case involving animal seizures and humane society involvement. Members and the commissioner discussed concerns about due process, lack of clear notice to animal owners, the need for owners to understand when they are surrendering ownership, and whether humane agents should have additional training or certification. Several members also questioned the role of the NH SPCA and humane societies, the absence of oversight, and whether there was any financial or policy conflict in their involvement. The commissioner said the Department of Agriculture does not have a direct relationship with humane societies, but does coordinate with police on seizures, and noted that problems tend to arise when agencies do not consult the department first. Testimony and discussion focused on possible fixes to the bill, including clearer written notice of rights, requiring a third-party qualified veterinarian or other neutral evaluator, establishing the condition of animals at the time of seizure for later court proceedings, and possibly using teleconferencing with a veterinarian in limited circumstances. Some members suggested the bill may need a broader study committee, while others said it should be amended now rather than delayed. The chair said the bill would be worked on further and sent to the subcommittee for more detailed review. The committee then opened a hearing on HB 250, which would allow local governing bodies to regulate dog muzzling. Representative Jodi Newell testified that the bill was intended to let municipalities respond to dangerous dogs, citing Keene’s attempt to require muzzling after a serious incident but lack of clear authority under current law. Deborah LeBlanc also testified about a dog attack that seriously injured her dog and said a muzzle requirement could have prevented the attack. Committee members asked about the incident, existing dog-control laws, and whether the dog had been leashed; the discussion suggested the bill was meant to clarify local authority over muzzling as a public safety measure.

Transcript Highlights:

• So for this last item, for the targeted autism services, we did a utilization review of that service
• or services delivered in the home.
• They bill us for the Cadillac of services and they actually deliver the Hugo of services.
• These are preventive services.
• We have like, you know, these type of services where commercial services, where somebody got a hard,

Summary: The Senate Finance Committee met to hear interim charges on higher education transparency and on preventing fraud, waste, and abuse in state government. The chair emphasized accountability for taxpayer dollars and asked witnesses to address financial reporting, audit practices, and whether more frequent or comprehensive audits would improve oversight. Legislative Budget Board staff described how public university systems and most community colleges respond to requests about internal audit practices, noting that university systems generally follow a similar annual audit timeline and that community colleges use a more varied mix of internal and external audit arrangements. Members focused on gaps in reporting, especially Texas Southern University’s missing submissions for several years and Collin County Community College’s nonresponse to the LBB survey. The State Auditor’s Office then outlined its higher education audit work, including mandatory statewide single audits, DEI compliance audits, HUB and State Use Program audits, benefits proportional audits, and discretionary audits based on risk. The auditor said the office has released 43 higher-ed audit reports since fiscal year 2021 and has two audits in progress, and explained that internal audit reports from institutions help guide future audit selection. Senators pressed the office on the lack of enforcement authority, the value of internal auditors at each institution, and whether community colleges should have more standardized reporting and audit requirements. The auditor and general counsel said the SAO can refer suspected fraud to law enforcement but cannot itself enforce findings, while several senators suggested stronger clawback authority and more robust internal audit structures. The Texas Higher Education Coordinating Board explained that it collects annual financial reports, sources-and-uses data, and community college finance reports, and uses them for funding formulas and other reporting. It also trains governing board members and said it has limited regulatory authority, though community colleges must certify compliance annually and can lose eligibility for state funds if they do not. Members questioned the reliability of self-attested data, the adequacy of board training, and whether a single reporting structure would be more efficient. During public testimony, a ScholarShot representative argued for clearer, student-facing financial transparency so students can see total cost of attendance and the gap they must cover before enrolling.

Transcript Highlights:

• and after-school services, and youth services.
• All directors of a professional service corporation All directors of a professional service corporation
• All directors of a professional service corporation Those services through the corporation.
• Our services cost less than hospital-based services by more than 30%.
• Thank you for your service and long hours.

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• Senate Human Services Committee will come to order.
• and the military service of my husband.
• and the military service of my husband.
• Some may ask whether this duplicates existing services.
• Thank you for your service and thank you for being here. Thanks, sir.

Keywords: 987, senate, all

Transcript Highlights:

• in our re-entry services.
• The key to staying at that level is the wraparound services, the continuation into your support service
• And then with the support of our reentry services and the work of all of our support service agencies
• Department of Health and Human Services, the Substance Abuse and Mental Health Services Administration
• We talked about our canine services.

Keywords: 995, all

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• SUD training for service providers, including combined in-home services providers.
• I love the preventive services.
• So you find that services or legal services like that can help steer families out of the system in some
• Services include habilitative care, nursing, physician and dental services, training and daily living
• One was to keep the facility open for residential services or use it for other human services.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• After his military service, Mr.
• All the while, he has retained many ties to his former service.
• I'm confident that his prior service in the Army will serve him well.
• Thanks for your service.
• Very important to me, obviously, my time in service, my family's time in service, and your time in service

Transcript Highlights:

• </c> puts our service members first. puts our service members first.
• These are service members. They I this? These are service members.
• </c> several years of service in the VA. several years of service in the VA.
• </c> a service connected disability. a service connected disability.
• </c> in the Sunday adult service. in the Sunday adult service.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 15, 2025, 1012, house, all

Transcript Highlights:

• </c> fiber transitions can affect service fiber transitions can affect service revi<00:27:07.120><c>
• ,</c> access to emergency services, access to emergency services, particularly<00:27:12.240><c> because
• </c> service for purposes of the statute. service for purposes of the statute.
• ,</c> department of public service, department of public service, legislative<00:29:52.000><c> counsel
• </c> service. And we ask for your support. service. And we ask for your support.

Keywords: 926, house, all

Transcript Highlights:

• And the last way that the department provides these services is through direct service provision at the
• If the member needed other medical services provided by Hartview's physician, for example, those services
• This slide shows Medicaid payments for residential services and outpatient services over the past five
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• For outpatient services by about 84%.

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.